Organization
COUNSELING PARTNERS LLC
Active
Other names
Counseling Partners
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIVIAN LEUCK MS (CEO)
(765) 427-6756
Entity
Organization
Contact information
Practice address
115 FARABEE DR N, SUITE B2, LAFAYETTE, IN 47905-5913
(765) 427-6756
(765) 423-5600
Mailing address
115 FARABEE DR N, SUITE B2, LAFAYETTE, IN 47905-5913
(765) 427-6756
(765) 423-5600
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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